Estudio comparativo de las complicaciones postquirúrgicas entre herniorrafia vs hernioplastia en pacientes mayores de 18 años operados en el Hospital General del Norte de Guayaquil Los Ceibos durante el periodo agosto 2017 - agosto 2019.

Abstract

BACKGROUND: Hernias are defined as the exit of an organ out of its normal cavity and its approach has been a point of discussion for years. Definitive treatment of inguinal hernias will always be surgical, although there is also non-surgical treatment. Currently there are two methods of approach for inguinal hernias, it can be open: hernioplasty, herniorrhaphy or laparotomy; or laparoscopically. Due to the difficulty of the procedure, it is common to observe post-surgical complications. AIM OF STUDY: To compare post-surgical complications between herniorrhaphy vs hernioplasty in patients over 18 years of age. MATERIALS AND METHODS: Our study is of a correlational, observational, descriptive cross-sectional type at the Hospital General del Norte de Guayaquil Los Ceibos during the period August 2017 - August 2019 RESULTS: Male patients aged 53-57 years were the most likely to present complications, the most common complications in order of frequency were neuralgia (63.48%), followed by edema (22.47%), serous exudate (10, 11%), orchitis (8.99%) and recurrences (7.87%). CONCLUSION: The average age of patients with inguinal hernia is 53-57 years, there are greater cases in males, the highest proportion being given in those who are overweight. Conventional surgery remains the choice of the laparoscopic approach and laparotomy. The Lichtenstein technique is still the most widely used. The most common complication was neuralgia followed by edema, serous exudate, orchitis, and recurrences.